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#1
Oct 12, 2016, 12:24 PM
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So there's APs for depression and there's APS for mania but what helps with mixed episodes accompanied with anger and irritation? My meds are geodon 40mg in AM, 60 in PM. Gabapentin 800mg three times a day, and seroquel 450mg at night. Also I went a good 5 days with only three hours of sleep at a time and just got my seroquel increased yesterday. But I'm in raging ***** mode here. My brother called and I answered the phone with "what?!" People are texting me and I'm being short because I'm very annoyed right now. In the past I took risperdal for my anger but I can't take it anymore. Is there any meds or supplements that help with this mood? I don't feel like talking to ANYONE right now and when I do I'm just mean about it. I hate being mixed... probably more than depression.
Any advice would help! Thanks in advanced! |
 HALLIEBETH87, OctobersBlackRose, xRavenx
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#2
Oct 12, 2016, 01:01 PM
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Rispersal and zyprexa helped me
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schizoaffective bipolar type PTSD generalized anxiety d/o haldol, prazosin, risperdal and prn klonopin and helpful cogentin |
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#3
Oct 12, 2016, 02:21 PM
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Seroquel 400mg., Topamax 100mg., works for me. I was mixed before this and was on Lamictal. Lamictal was like water, did nothing. Then tried Latuda, no better, made me anxious. Then Geodon, made my heart race. Seroquel knocked the mixed state on its ***. Seroquel also great for rapid cycling Bipolar 1.
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#4
Oct 12, 2016, 02:59 PM
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I found that Klonopin, even though it is not technically a mood-stablizer per se, really helped me when I used to go mixed. It didn't last long but it would calm me down a bit within the first few minutes. Later found out that Prozac was triggering the mixed episodes.
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Diagnosis: Bipolar Type I w\ psychotic features, Obsessive-Compulsive Disorder Medications: 0mg Prozac (Thank God), 10mg Zyprexa, 100mg Lamictal XR (for now may adjust as needed), 2mg Klonopin  |
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#5
Oct 12, 2016, 03:26 PM
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Maybe increase the Geodon? The maximum dose is 160 mg - you have room for increase.
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#6
Oct 12, 2016, 03:46 PM
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Since -especially- the meds aren't touching the anger/irritation, do you think it might not be related to the Bipolar? Some aspects of mood can be unrelated and just something else -horribly difficult- to deal with, even if Bipolar things are going on at the same time. I think it's so hard to parse it all out, especially if it might be mixed or something else or a combination of things. Just a thought...
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#7
Oct 12, 2016, 03:59 PM
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I've found Trileptal helpful for irritability and anxiety.
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#8
Oct 12, 2016, 04:16 PM
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Haldol will calm your as$ right down
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Bipolar 1 with mixed and psychotic symptoms & ADHD Meds Latuda 120mg Lamictal 200mg Haldol 5mg (+5mg during mixed episodes) Vyvanse 40mg morning 20mg noon Benztropine 0.5mg |
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#9
Oct 12, 2016, 04:45 PM
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Quote:
I was thinking the same thing. And I totally forgot to bring it up with pdoc cuz my appt is always rushed. Maybe I'll give her a call |
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#10
Oct 12, 2016, 04:46 PM
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Quote:
Yes I'm going through a lot in my life right now and it's to the point I keep my phone on silent because I'm afraid of more bad news. So I suppose this could be situational. |
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#11
Oct 12, 2016, 04:46 PM
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Quote:
I've always wanted to try haldol. They give the injections at my pdoc. |
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#12
Oct 12, 2016, 05:30 PM
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I take risperdal , topamax and lamictal as my base meds. I won't say there not helpful per se. My fist hospital admit they gave me haldol. When I mixed a few months ago my pdoc gave me haldol , Benadryl and Ativan. I was mixed yesterday and I took haldol and Benadryl. I'm decent today
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#SpoonieStrong Spoons are a visual representation used as a unit of measure to quantify how much energy individuals with disabilities and chronic illnesses have throughout a given day. 1). Depression 2). PTSD 3). Anxiety 4). Hashimoto 5). Fibromyalgia 6). Asthma 7). Atopic dermatitis 8). Chronic Idiopathic Urticaria 9). Hereditary Angioedema (HAE-normal C-1) 10). Gluten sensitivity 11). EpiPen carrier 12). Food allergies, medication allergies and food intolerances. . 13). Alopecia Areata |
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#13
Oct 12, 2016, 05:48 PM
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I was highly manic / mixed about a month and a half ago. when I started feeling good I stopped my Haldol because I didn't want to stop feeling good, I could remember the last time I felt good. but after I peaked and slashed my sisters tires I started back on the Haldol, I was back to baseline in like 2 days. its a hell of a powerful drug, i'd ask about that.
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Bipolar 1 with mixed and psychotic symptoms & ADHD Meds Latuda 120mg Lamictal 200mg Haldol 5mg (+5mg during mixed episodes) Vyvanse 40mg morning 20mg noon Benztropine 0.5mg |
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#14
Oct 12, 2016, 06:40 PM
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Is haldol a daily pill or a regular injection? Maybe both?
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#15
Oct 12, 2016, 07:40 PM
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Zyprexa knocked it right out of me. I've been on it for 2 1/2 years and I've never had another mixed episode.
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DX: Bipolar 1 Anxiety Tardive dyskinesia Mild cognitive impairment RX: Celexa 20 mg Gabapentin 1200 mg Geodon 40 mg AM, 60 mg PM Klonopin 0.5 mg PRN Lamictal 500 mg Levothyroxine 125 mcg (rx'd for depression) Trazodone 150 mg Zyprexa 7.5 mg Please come visit me @ http://bpnurse.com |
 Sad Mermaid
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#16
Oct 12, 2016, 09:09 PM
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I think just because mood can turn on a dime does not mean its rapid cycling. So I think emotions need to be evaluated in the right context.
Tucson
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Dx: Bipolar I, ADD, GAD. Rx: Fluoxetine, Buproprion, Olanzapine, Lamictal, and Strattera. |
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#17
Oct 14, 2016, 07:27 AM
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Quote:
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BP1 OCD General Anxiety Disorder Meds: Clonazapam 1mg 2x daily Lamictal 50mg zyprexa 5mg Prazosin 3mg for night terrors Best of all I am off of the opiate replacements finally, no more methadone Almost Famous: William: "Penny I need to get this interview and go home" Penny Lane : "Poof! you are home." |
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#18
Oct 14, 2016, 08:01 AM
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Haldol can be given either way.
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Meds: Latuda, Lamictal XR, Vyvanse, Seroquel, Klonopin Supplements: Monster Energy replacement.  Also DLPA, tyrosine, glutamine, and tryptophan
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#19
Oct 14, 2016, 02:32 PM
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Quote:
Correct....the first time I was given Haldol I was in the hospital. Unfortunately I was extremely manic and had to be held down then given the injection lol. I stayed stable a while. Then changed pdocs a few months later. A year later I went mix and my new pdoc gave me Haldol pills.
__________________
#SpoonieStrong Spoons are a visual representation used as a unit of measure to quantify how much energy individuals with disabilities and chronic illnesses have throughout a given day. 1). Depression 2). PTSD 3). Anxiety 4). Hashimoto 5). Fibromyalgia 6). Asthma 7). Atopic dermatitis 8). Chronic Idiopathic Urticaria 9). Hereditary Angioedema (HAE-normal C-1) 10). Gluten sensitivity 11). EpiPen carrier 12). Food allergies, medication allergies and food intolerances. . 13). Alopecia Areata |
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#20
Oct 14, 2016, 03:25 PM
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I was given Haldol in the ER when I was probably mixed and more than a little delusional. It's took several hours to take effect but it did seem to bring me down and help me get decent sleep for the first time in 9 days. I'm not sure it was the Haldol or if my body just finally gave out. I'd be willing to try it again if the need arose. I was given pills in the ER and not sent home with a prescription.
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#21
Oct 14, 2016, 05:00 PM
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Haldol or Thorazine
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Helping others gets me out of my own head ~ |
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#22
Oct 15, 2016, 12:43 PM
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Thanks everyone. I had the flu yesterday and couldn't keep down any meds. I feel a bit better today but still can't eat so I had to take my geodon with Gatorade. That's probably not enough calories but better than nothing. I hope skipping my meds doesn't make things worse. Although physically I don't think I can feel any worse right now
 . Get your flu shot everyone! Lol. 
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| Bigmike727
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| Sad Mermaid
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#23
Oct 15, 2016, 05:46 PM
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Hoping you feel better. Hate the stomach bug or ear infection worse though. Every year always have either one lol. Even had an experience with pneumonia before so I know somewhat how you feel, except was coughing up a ton of spit.
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Diagnosis: Bipolar Type I w\ psychotic features, Obsessive-Compulsive Disorder Medications: 0mg Prozac (Thank God), 10mg Zyprexa, 100mg Lamictal XR (for now may adjust as needed), 2mg Klonopin |
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#24
Oct 20, 2016, 05:27 PM
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Quote:
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#25
Oct 20, 2016, 05:53 PM
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Seroquel and Klonopin when taken together were the most beneficial when I experienced mixed episodes (along with other meds, but those two are definitely the most helpful for me). The Seroquel did need to be increased since I stopped sleeping and was psychotic, but once the dose was adjusted, it worked like magic.....of course it took time, but slowly but surely it knocked out those mixed states. I agree with others here though that it is definitely possible that situational factors are perhaps triggering these symptoms.
I hope you feel better soon. Mixed episodes are the worst. |
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